Increased Education is Associated with Decreased Compliance in an Urban Multi-Ethnic Lupus Cohort
|Rachel Gross1#, Jennifer Graybill1#, Dawn Wahezi2, Nicole C. Jordan1, Chaim Putterman1 and Irene Blanco1*|
|1Division of Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA|
|2Division of Pediatric Rheumatology, Albert Einstein College of Medicine, Bronx, NY, USA|
|#Both Drs. Gross and Graybill have equally contributed as first authors on this manuscript|
|Corresponding Author :||Irene Blanco MD, MS
Division of Rheumatology
Albert Einstein College of Medicine
Forchheimer 701, 1300 Morris Park Ave., Bronx, NY 10461, USA
E-mail: [email protected]
|Received April 01, 2014; Accepted May 19, 2014; Published May 26, 2014|
|Citation: Gross R, Graybill J, Wahezi D, Jordan N, Putterman C, et al. (2014) Increased Education is Associated with Decreased Compliance in an Urban Multi-Ethnic Lupus Cohort. J Clin Cell Immunol 5:215. doi: 10.4172/2155-9899.1000215|
|Copyright: © 2014 Gross R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Objectives: To investigate the factors associated with medication compliance in a multi-ethnic population of patients with systemic lupus erythematosus in an urban community.
Methods: We surveyed patients in our cohort using the standardized measures of the Compliance- Questionnaire-Rheumatology (CQR), the Beliefs about Medications Questionnaire (BMQ), as well as patient selfreported compliance. Demographic and clinical characteristics of compliant and non-compliant patients underwent bivariate analysis. A multivariate analysis was then performed on variables of interest.
Results: Of the 94 patients who agreed to participate in the survey, 89 fully completed each questionnaire. Overall, 48% of patients were compliant by CQR. In multivariate analyses, higher education level was associated with non-compliance. Spanish-speaking patients and those with an income of greater than $15,000 per year were more likely to be compliant.
Conclusions: In this urban lupus population, several factors may influence medication compliance. Factors associated with non-compliance are not what have been found in other populations. Further studies looking into specific reasons for certain areas of non-compliance as well as addressing these issues will be important in both treatment and outcomes in lupus patients in implementing appropriate interventions.